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ABPLM Designation Statement: This Internet Enduring Material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 1.5 clinical hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
Session Description: This session will discuss cutting-edge issues in infectious diseases as they pertain to older adults. Presenters will provide an overview of the nationwide catheter-associated urinary tract infection long-term care project (CAUTI-LTC) funded by the Agency for Healthcare Research and Quality's (AHRQ), results of systematic review of current literature in preventing urinary tract infections (UTIs), challenges in defining UTIs in older adults, and antimicrobial and catheter stewardship.
Describe the role of both technical aspects of a UTI prevention bundle and socio-adaptive as well as cultural aspects of infection prevention in long-term care settings.
Review recent interventional studies aiming at reducing UTIs and urinary catheter use in the long-term care settings.
Discuss practical strategies to improve on UTI diagnosis as well as approaches to treatment and prevention.
Explain the role of performance measurement in infection prevention efforts.
Speaker(s): Michele F. Bellantoni, MD, CMD Lona Mody, MD, MSc Jennifer Meddings, MD, MS Nimalie Stone, MD, MS Heidi Wald, MD
Reference(s): Michele Bellantoni, MD, CMD is Associate Professor and Clinical Director, Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, and Medical Director of the Post-acute and Long-term Care inpatient services of the Johns Hopkins Bayview Medical Center. Current research is focused on transitions in care and medical management of medically complex, high acuity older adults in the post-acute in patient setting. She is the lead physician for the Skilled Nursing Facility Collaborative of the Johns Hopkins Community Health Partnership, a Center for Medicare and Medicaid Services Innovations Center Grant. She is a board member of the Maryland Medical Directors Association. Lona Mody, MD, MS is an Associate Professor of Internal Medicine/Geriatric Medicine at University of Michigan and Associate Director, Clinical Programs for Ann Arbor VA GRECC. She is one of very few internists in this country with an expertise in aging populations, epidemiology, an active research laboratory in microbiology and a translational research agenda focused on a vulnerable post-acute and long-term care populations. With her interest in translational epidemiologic research, she has mentored several junior faculty and students. Her NIH and AHRQ funded work has created a thriving consortium of post-acute and long-term care facilities in SE Michigan interested in learning ways to enhance infection prevention in a traditionally resource poor setting. In an NIH-R01 study, she evaluated a multi-modal targeted infection-prevention (TIP) intervention to prevent resistant organisms and infections in long-term care residents with indwelling devices. Our group led by Dr. Saint and me as co-PIs has been recently awarded an AHRQ contract to implement our work to post-acute and long-term care facilities across 50 states in the US. She will be discussing this collaborative today. Nimalie D. Stone, MD, MS is the Medical Epidemiologist for long-term care in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention (CDC). She is a Board-certified infectious disease physician who has a research and clinical background in managing infections and antibiotic resistant pathogens in the elderly long-term care population. She completed her Internal Medicine residency at Johns Hopkins University and an Infectious Disease fellowship at Emory University. In her role at the CDC, she develops guidelines, educational resources and quality improvement programs to promote infection prevention and surveillance in the long-term care setting. Heidi Wald, MD, MSPH, is an Associate Professor of Medicine in the Division of Health Care Policy Research at the University of Colorado School of Medicine where she serves as Vice Chair for Quality in the Department of Medicine. Dr. Wald is a graduate of Harvard Medical School and completed her residency in Internal Medicine at the Hospital of the University of Pennsylvania. She completed fellowship in Geriatric Medicine, a NRSA Primary Care Research Fellowship, and an MSPH at the University of Colorado Denver. Dr. Wald has a longstanding interest in patient safety and quality of care for the geriatric patient with a focus on the prevention of hospital-acquired conditions, particularly catheter-associated urinary tract infection (CAUTI). She was a 2009 recipient of a Paul B. Beeson Career Development Award in Aging, and the principal investigator of a multisite study on the prevention of CAUTI funded by the Agency for Healthcare Research and Quality. She currently serves as a faculty lead for the AHRQ Safety Program for Long-Term Care: Catheter-Associated Urinary Tract Infection (CAUTI).
Associate Professor, Department of Medicine,
Johns Hopkins University